NPIMap

Organization Active NPI

Sinai Hospital of Baltimore Inc

  • Pediatric Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1992720528
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
30-062 Issued in MD
Legal business name
SINAI HOSPITAL OF BALTIMORE INC
Practice address
2411 W. Belvedere Avenue, Suite 407
Morton Mower, M.D., Mob
Baltimore, MD 21215
Phone
(410) 601-8663
Fax
(410) 601-5389
NPI assigned
Jul 13, 2006
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SINAI HOSPITAL OF BALTIMORE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles B Efird
Title
Director
Phone
(410) 601-7019

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X 30-062 MD Primary
General Acute Care Hospital 282N00000X 30-062 MD

Addresses

Primary practice location

2411 W. Belvedere Avenue, Suite 407
Morton Mower, M.D., Mob
Baltimore, MD 21215

Mailing address

2401 W Belvedere Ave
Attn; Credentialing
Baltimore, MD 21215-5216
Phone (410) 601-5524

Other names 1

  • Sinai Pediatric Gastroenterology Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100122000689 MD Part B Supplier - Clinic/Group Practice 0941112346 Receives reassigned benefits from 6 practitioners
Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Benjamin V Dubois361 organizations share this tax ID, including this one
Part of
Benjamin V Dubois

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2411 W Belvedere Ave
Ste 407
Baltimore, MD 21215
Phone (410) 601-8333

25 Crossroads Dr
Ste 100
Owings Mills, MD 21117

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1992720528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "ATTN; CREDENTIALING",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5524",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W. BELVEDERE AVENUE, SUITE 407",
            "address_2": "MORTON MOWER, M.D., MOB",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-601-8663",
            "fax_number": "410-601-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINAI HOSPITAL OF BALTIMORE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINAI HOSPITAL OF BALTIMORE INC",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "EFIRD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-601-7019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MD",
            "license": "30-062",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "30-062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sinai Pediatric Gastroenterology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.